Marjorie Ellen Mitchell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-145-987 Issued in AL

Practice address

203 Vaughan Memorial Dr
Selma, AL 36701-6950

Phone

(334) 219-6711

NPI assigned

Jun 14, 2019

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alabama Post-Acute Medical Service 1 PC

  • Hospitalist Physician
  • Phenix City, AL
  • NPI 1073052403
  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  AL

  Medicare reassignment NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749

  AL

  Medicare reassignment NPD
• Eterna Primary Care of Alabama LLC

  • General Practice Physician
  • Irondale, AL
  • NPI 1982554978
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1326608183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 VAUGHAN MEMORIAL DR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016950",
            "telephone_number": "334-219-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 VAUGHAN MEMORIAL DR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016950",
            "telephone_number": "334-219-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARJORIE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-145-987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Stephen McPhillips, DPM
• Tomeko Lydritrius McPhillips, DPM
• Mid-South Home Care Services, Inc (Mid-South Respiratory Services & HME)
• Mid-South Home Health, LLC (Centerwell Home Health)
• Morgan Lucas Mims, CRNP, FNP-C
• Montgomery Cancer Center LLC
• Montgomery Cancer Center, LLC
• Joseph E Moore, RPH
• Monica Boswell Moore, FNP-C
• More Than Words

• Family Nurse Practitioner in Selma, AL
• Providers in Selma, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.